title: Torticollis as the sole initial presenting sign of systemic onset juvenile rheumatoid arthritis.
abstract: We describe a 6-year-old girl with acute torticollis as the initial manifestation of systemic onset juvenile rheumatoid arthritis (JRA). She presented with isolated torticollis for 2 weeks, followed by daily intermittent fever and polyarthritis. We discuss the pathogenesis of cervical spine involvement in JRA and the clues to early diagnosis.
authors.affiliation: Department of Pediatrics, Sapir Medical Center, Kfar Saba, Israel.
authors.forename: Y
authors.initials: Y
authors.lastname: Uziel
authors.forename: V
authors.initials: V
authors.lastname: Rathaus
authors.forename: A
authors.initials: A
authors.lastname: Pomeranz
authors.forename: H
authors.initials: H
authors.lastname: Solan
authors.forename: B
authors.initials: B
authors.lastname: Wolach
mesh_terms: D001171:Arthritis, Juvenile / Q000150:complications* / Q000000981:diagnostic imaging; D001268:Atlanto-Axial Joint / Q000000981:diagnostic imaging; D002648:Child; D005260:Female; D006801:Humans; D011877:Radionuclide Imaging; D014054:Tomography; D014103:Torticollis / Q000000981:diagnostic imaging / Q000209:etiology*